In primary care, most practices are now computerised with GPs using clinical software to record patient consultations and treatments along with the storage of some electronic documents. However, an area that is still very paper-based are the so-called Lloyd George (LG) envelopes which contain patient notes written by every GP in the country prior to computerisation. They’re a huge burden on almost all UK practices. How to deal with the Lloyd George records is perhaps, therefore, the last major paper challenge that primary care has yet to completely grapple with. To cut through the sales fog, we’ll look at how Lloyd George records are used, the legal requirements concerning retention, how they are moved around and cost-effective options available to finally get rid of them such that the NHS’s goal of being paper free might actually be achieved.